Healthcare Provider Details

I. General information

NPI: 1396767232
Provider Name (Legal Business Name): RAVINDRA PARCHURI MDPLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 NE 9TH ST
SMITHVILLE TX
78957-1025
US

IV. Provider business mailing address

605 NE 9TH ST
SMITHVILLE TX
78957-1025
US

V. Phone/Fax

Practice location:
  • Phone: 512-237-2411
  • Fax: 512-237-4833
Mailing address:
  • Phone: 512-237-2411
  • Fax: 512-237-4833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAVINDRA PARCHURI
Title or Position: OWNER
Credential: M.D
Phone: 512-237-2411